Document Detail


WARMING PRETERM INFANTS IN THE DELIVERY ROOM: POLYETHYLENE BAGS, EXOTHERMIC MATTRESSES OR BOTH?
MedLine Citation:
PMID:  21645087     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims  To compare the admission temperature of infants treated with polyethylene bags alone to infants treated with exothermic mattresses in addition to bags in the delivery room. Methods  We prospectively studied infants born at <31 weeks' gestation who were placed in bags at birth. Some infants were also placed on mattresses. Admission axillary temperatures were measured in all infants on admission to the neonatal intensive care. We compared the temperatures of infants treated with bags alone to those treated with mattresses and bags. Results  We studied 43 infants, 15 were treated with bags while 28 were treated with a bag and mattress. Mean admission temperature was similar between the groups. Hypothermia and hyperthermia occurred more frequently in infants treated with a bag and mattress; and more infants treated with a bag had admission temperatures 36.5°C-37.5°C. Conclusion  The use of exothermic mattresses in addition to polyethylene bags, particularly in younger, smaller newborns may result in more hypothermia and hyperthermia on admission. A randomised controlled trial is necessary to determine which strategy results in more infants having admission temperatures in the normal range.
Authors:
Lisa K McCarthy; Colm P F O'Donnell
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-3
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Acta Paediatrica © 2011 Foundation Acta Paediatrica.
Affiliation:
The National Maternity Hospital, Holles St, Dublin 2, Ireland. The National Children's Research Centre, Crumlin, Dublin 12, Ireland. University College Dublin, Belfield, Dublin, Ireland.
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